Individual
GAIL J. ZACOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4505 S MARYLAND PKWY, BOX 453020, LAS VEGAS, NV 89154-9900
(702) 895-3370
Mailing address
4505 S MARYLAND PKWY, BOX 453020, LAS VEGAS, NV 89154-9900
(702) 895-4337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002188
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425324902
—
MO
01
—
P00419081
RR MEDICARE
MO
Enumeration date
11/20/2006
Last updated
08/06/2016
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